Evidence map›Paper›PMID 27137957›Full record

Trial reportPsychiatry research2016

Comorbidity and quality of life in adults with hair pulling disorder.

David C Houghton, Joyce Maas, Michael P Twohig, Stephen M Saunders, Scott N Compton, Angela M Neal-Barnett, Martin E Franklin, Douglas W Woods

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Psychiatry research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
11.5field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 93 citations in OpenAlex.

  1. Placebo response in trichotillomania.International clinical psychopharmacology · 2017
    Trial
  2. Trial
  3. Article
  4. Review
  5. Article
  6. Trichotillomania and Risk of Alcohol- and Drug-Related Problems.Biological psychiatry global open science · 2025
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Untroubled Pullers: An Examination of Nonclinical Hair-Pulling.Journal of obsessive-compulsive and related disorders · 2023
    Article
  14. Article
  15. Natural recovery in trichotillomania.The Australian and New Zealand journal of psychiatry · 2022
    Article
  16. Article
  17. Trichobezoar without a clear manifestation of trichotillomania.Journal of family medicine and primary care · 2020
    Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 7 institutions in 2 countries.

David C HoughtonTexas A&M University, Department of Psychology, 4235 TAMU, College Station, TX 77843-4235, United States. Electronic address: davidhoughton@tamu.edu.
Joyce MaasRadboud University-Nijmegen, Department of Clinical Psychology, P.O. Box 9104, NL-6500 HE Nijmegen, The Netherlands. Electronic address: j.maas@psych.ru.nl.
Michael P TwohigUtah State University, Department of Psychology, 2810 Old Main Hill, Logan, UT 84322-2810, United States. Electronic address: michael.twohig@usu.edu.
Stephen M SaundersMarquette University, Department of Psychology, 328E Cramer Hall, Milwaukee, WI 53233, United States. Electronic address: stephen.saunders@marquette.edu.
Scott N ComptonDuke University School of Medicine, Department of Psychiatry and Behavioral Sciences, DUMC 3527, Durham, NC 27710, United States. Electronic address: scompton@duke.edu.
Angela M Neal-BarnettKent State University, Department of Psychological Sciences, 203 Kent Hall Addition, Kent, OH 44242, United States. Electronic address: aneal@kent.edu.
Martin E FranklinUniversity of Pennsylvania School of Medicine, Department of Psychiatry, 3535 Market Street, 6th Floor, Philadelphia, PA 19104, United States. Electronic address: marty@mail.med.upenn.edu.
Douglas W WoodsTexas A&M University, Department of Psychology, 4235 TAMU, College Station, TX 77843-4235, United States. Electronic address: dowoods@tamu.edu.
Texas A&M University · USDuke University · USKent State University · USMarquette University · USRadboud University Nijmegen · NLUniversity of Pennsylvania · USUtah State University · US

Funding

Acceptance Enhanced Behavior Therapy for TrichotillomaniaR01MH080966 · NIMH · UNIVERSITY OF WISCONSIN MILWAUKEE · PI WOODS, DOUGLAS W · 2009 to 2013
$1.8M
NIMH NIH HHS R01 MH080966
6 · The paper itself

Abstract

Hair pulling disorder (HPD; trichotillomania) is thought to be associated with significant psychiatric comorbidity and functional impairment. However, few methodologically rigorous studies of HPD have been conducted, rendering such conclusions tenuous. The following study examined comorbidity and psychosocial functioning in a well-characterized sample of adults with HPD (N=85) who met DSM-IV criteria, had at least moderate hair pulling severity, and participated in a clinical trial. Results revealed that 38.8% of individuals with HPD had another current psychiatric diagnosis and 78.8% had another lifetime (present and/or past) psychiatric diagnosis. Specifically, HPD showed substantial overlap with depressive, anxiety, addictive, and other body-focused repetitive behavior disorders. The relationships between certain comorbidity patterns, hair pulling severity, current mood and anxiety symptoms, and quality of life were also examined. Results showed that current depressive symptoms were the only predictor of quality of life deficits. Implications of these findings for the conceptualization and treatment of HPD are discussed.

Indexed as

Acceptance and Commitment TherapyAdultAnxietyComorbidityDepressionDiagnostic and Statistical Manual of Mental DisordersFemaleHumansMaleMiddle AgedQuality of LifeTrichotillomaniaComorbidityDepressionObsessive-Compulsive DisorderQuality of lifeTrichotillomania

Identifiers

PMID27137957
PMCPMC4855296
OpenAlexW2289915271

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.